Individual
MICHELLE MARIE MALTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1040 S 70TH ST, MILWAUKEE, WI 53214-3174
(414) 476-9675
(414) 615-0626
Mailing address
1040 S 70TH ST, MILWAUKEE, WI 53214-3174
(414) 476-9675
(414) 615-0626
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16465-40
WI
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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